Identifying Differences between Greek Adolescent Suicide Attempters and Adolescent Patients with No Suicidal Behavior

Introduction Youth suicide is a significant public health problem resulting in a major social and economic burden for communities and a devastating impact on families. Objectives The present study, which is part of a continuing research on attempted suicide among adolescents conducted in Northern Greece since 1990, explored the circumstances and characteristics of adolescent suicide attempters, comparing them with a clinical sample of adolescents with no suicidal behavior. Methods We retrospectively studied medical records and collected clinical data, sociodemographic and family characteristics of adolescents (all diagnoses except attempted suicide) referred to the Adolescent Unit of the AHEPA General Hospital for assessment and treatment between 2008 and 2018 (N = 160) and we compared them with our sample of adolescent suicide attempters (N = 182). Results Of the 342 cases reviewed, 71.6% were female and aged 12 to 19 years (M = 15.39, SD = 1.81). Chi-square analyses showed that, compared with patients with no suicidal behavior, attempters were more frequently diagnosed with personality disorder and mood disorder. No differences were found between groups for substance-use disorder, psychosis, eating disorder and somatic symptom disorder. Attempters were also living in more problematic circumstances, such as such as severe family dysfunction and/or impairment, reported significantly more conflict with parents, had more school problems and had experienced romantic disappointment (see Table 1).Table 1. Comparisons between suicide attempters and nonsuicidal comparison group on family psychosocial characteristics Suicide Attempters(n = 182) Comparison Group(n = 160) n % n % χ2 Malfunction/Inadequate family system 109 60.6 59 36.9 19.00*** School problems/difficulties 100 55.2 60 37.7 10.42*** Conflict with parents 97 53.9 66 41.3 5.42* Romantic disappointment 41 22.9 10 6.3 18.34*** Conflict with siblings 26 14.4 12 7.5 4.11* History of physical abuse/violence 25 14.0 16 10 1.25 History of sexual abuse – Rape 6 3.4 6 3.8 .04 Conclusions These findings highlight risk factors for suicide attempts and inform the development of suicide models that improve identification of adolescents at greatest risk to making a suicide attempt. Disclosure of Interest None Declared

Introduction: Current suicidology literature emphasizes the need for suicide prevention and awareness training that include specific approaches tailored for specific professional groups.However, it is necessary that the scales used in the assessment of trainings contain the needs of the evaluated groups on risk management.Cancer patients are one of the groups with a high risk of suicide.Studies show oncology nurses have difficulties in recognising and managing the risk of suicide in oncology patients (Granek et al. Psycho-Oncology 2018;27(1) 148-154, Öztürk and Hiçdurmaz. Journal of Clinical Nursing 2022;1-15).Also, these studies underline the need to create training programmes peculiar to oncology that increase oncology nurses' awareness, knowledge, skills and efficacy in recognising and managing suicide risk.However, no study in the current literature presents scale that can assess the effect of these trainings on efficacy of oncology nurses or other professional who work oncology in the management of suicide risk.Valid and reliable scale is required to assess oncology nurses' efficacy in suicide risk management.
Objectives: This study aim to to develop and test the psychometric properties of the Suicide Risk Management Efficacy Scale (SRMES) Methods: The study was conducted in two stages: (1) the creation of conceptual frameworks and scale items (2) assessing the scale psychometric properties.At the end of the feedback from 10 experts (Psychiatrists and Psychiatric Nurses), the scale content validity was completed and the scale was applied oncology nurses sample.Data were collected using a Descriptive Characteristic Form and the 26-item SRMES.Data were obtained from 234 oncology nurses.Exploratory, confirmatory factor analyses and reliability analyses were performed.Results: Exploratory factor analyses extracted a unifactorial solution.Confirmatory factor analysis revealed that the unifactorial model presented highly satisfied and acceptable fit indexes (CMIN/df=1,927; CFI=.94;GFI=.844;IFI=0,941; TLI=.928;RMSEA=.063:NFI=0,884; RFI=0,86).According to the results of the principal component analysis, factor loads in the unifactorial structure are between 0.534 and 0.843.Cronbach's alpha value of the scale was 0,96, the inter-class reliability coefficient is 0.928.Conclusions: The result of exploratory factor analysis and confirmatory factor analysis results were satisfactory.The SRMES is a valid and reliable scale that can be used to assess oncology nurses' efficacy perception on suicide risk management.The SRMES can also be used to evaluate the efficacy perceptions of other health professionals on suicide risk management who perform psychosocial assessments similar to nurses in oncology.

EPV1085 Identifying Differences between Greek Adolescent Suicide Attempters and Adolescent Patients with No Suicidal Behavior
Objectives: The present study, which is part of a continuing research on attempted suicide among adolescents conducted in Northern Greece since 1990, explored the circumstances and characteristics of adolescent suicide attempters, comparing them with a clinical sample of adolescents with no suicidal behavior.Methods: We retrospectively studied medical records and collected clinical data, sociodemographic and family characteristics of adolescents (all diagnoses except attempted suicide) referred to the Adolescent Unit of the AHEPA General Hospital for assessment and treatment between 2008 and 2018 (N = 160) and we compared them with our sample of adolescent suicide attempters (N = 182).Results: Of the 342 cases reviewed, 71.6% were female and aged 12 to 19 years (M = 15.39,SD = 1.81).Chi-square analyses showed that, compared with patients with no suicidal behavior, attempters were more frequently diagnosed with personality disorder and mood disorder.No differences were found between groups for substance-use disorder, psychosis, eating disorder and somatic symptom disorder.Attempters were also living in more problematic circumstances, such as such as severe family dysfunction and/or impairment, reported significantly more conflict with parents, had more school problems and had experienced romantic disappointment (see Table 1).
Conclusions: These findings highlight risk factors for suicide attempts and inform the development of suicide models that improve identification of adolescents at greatest risk to making a suicide attempt.

EPV1086
Suicidal attempts among psychiatric patients hospitalized in Tirana Psychiatric Service, Albania V. Alikaj*, V. Skendi and E. Dashi Introduction: Suicide represents one of the most discussed mental health issues in the world today and health challenges for the future.The burden of suicide is calculated in very high numbers (800 thousand people per year) by the WHO (2014), ranking it among the other most frequent causes of death.The key criteria to determine suicidal or non-suicidal behavior is the presence of intentional selfinjurious behavior, in which the individual intentionally attempts to harm himself.Objectives: Aim of the study: was to make a presentation and evaluation of the demographic and clinical factors of suicidal selfinjurious behavior in patients hospitalized Methods: Patients' data were obtained from the archived clinical files of the Psychiatric Emergency Department and other wards at "Xhavit Gjata" Tirana Psychiatric Hospital.The method used is a descriptive retrospective study of patients admitted during period of January-May 2019.About 75 archived clinical files were thoroughly studied and analyzed, on various demographic and clinical variables.
Results: Albanian women remain more at risk for suicide attempts, while male suicide mortality is higher, as in the world.Higher determination and the use of more lethal methods ranked among the factors contributing to the higher mortality of men.The 29-49 age group is the most affected in our study according to suicide attempts and self-harming behavior.The most pronounced accompanying diagnoses of suicide attempts are major depressive disorders, but not leaving behind psychotic disorders.The average length of stay in the hospital is 18.4 days.Conclusions: The deepening of knowledge on the etiology, on the factors influencing suicide and on the methods of treatment are only some of the issues facing public health today.Identification of self-injurious behaviors pave the way for treatment and assistance for anyone considering suicide.

EPV1087
Particular suicides and psychiatric pathologies: Case Series.
V. Ritorto*, M. A. Sacco, S. Gualtieri, P. Ricci, A. P. Tarallo and I. Aquila Introduction: Suicide is one of the main cause of death in the world.It's an important public health problem that is growning on new generations.Objectives: The manners used to die have always been studied from psychiatry to understand which mental illness induced victim to various ways of suicide.They are multiples and are influenced by different factors.This study includes suicides cases defined "atypical".Methods: The cases were examined at the Insitute of legal Medicine Institute of Magna Graecia University of Catanzaro.Methods used were autopsies, and psycological autopsies.The study of the three cases also included the first level toxicological tests..

Table 1 .
Comparisons between suicide attempters and nonsuicidal comparison group on family psychosocial characteristics